Community hospitals, geriatric conditions, intermediate care, health care provision.
Conditions
Interventions
Patients admitted to the AGCH will receive a full Comprehensive Geriatric Assessment (CGA) and comprehensive multidisciplinary care, focusing on early mobilization and discharge planning.
Sponsors
Amsterdam University Medical Centers, location Academic Medical Center (AMC), Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: Patients who have been admitted to the AGCH can be included in the study, admission is based on following criteria: 1. Patients requiring hospital admission for both a common medical problem as a geriatric problem; 2. 65 years and older; 3. Living in the catchment area around the Amsterdam UMC, location AMC. 4. Not requiring additional diagnostics or hospital treatment that cannot be provided at the AGCH.
Exclusion criteria
Exclusion criteria: Patients are excluded from the study if: 1) the attending physician judges that the patient is too ill to participate e.g. is terminally ill 2) the patient or legal representative does not consent to participate. 3) the patient or legal representative does not speak or understand Dutch or English.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the 3-month unplanned readmission rate to the AGCH or hospital. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) ADL-functioning as defined by the KATZ-ADL scale. 2) Institutionalization in a nursing home or long-term care facility. 3) Health-related quality of life (HRQoL) 4) Satisfaction of patients and primary care givers with the care provided. 5) Health care utilization, including institutionalization (temporarily or permanent), hospitalization (plannend and unplanned), home care, physiotherapy, emergency department, primary care use and informal care hours. 6) All-cause mortality | — |
Contacts
Public ContactBianca Buurman
Amsterdam UMC, location AMC
Outcome results
None listed